Psychiatry

Question 1

Body dysmorphic disorder Rx

Answer 1

Sero. specific :Clomipramine , fluoxetine
MAOi :pimozide
Augmentation of the selective serotonin reuptake inhibitor (SSRI) with clomipramine (Anafranil), buspirone (BuSpar), lithium (Eskalith), methylphenidate (Ritalin), or antipsychotics may improve the response rate

Question 2

Hair pulling Rx

Answer 2

SSRI&raquo_space;» pimozide

Other medications that have been reported to have some efficacy for hair-pulling disorder include fluvoxamine , citalopram , venlafaxine , naltrexone , and lithium . A report of successful lithium treatment cited the possible effect of the drug on aggression, impulsivity, and mood instability as an explanation

Question 3

Buprenorphine and Methadone

Answer 3

Are synthetic opioids treat heroin addiction

Question 4

Anxiety Rx

Answer 4

-SSRI (Sertraline , paroxetine “best” , citalopram) at least for 6 months after improvement.
-SSNRI (Venlafaxine)
Tricyclic (Imipramine , cloimipramin)
.
Anxiolytics :
benzo (for rapid relief to cover 2-3 weeks before SSRI work. (Maximum 6 weeks followed by 2 weeks tapering)
2- Buspirone (2-3 week for working) (less dependence than benzo)
.
B antagonist (reduce somatic manifestation)

Question 5

Skin picking

Answer 5

There is support for the use of selective serotonin reuptake inhibitors (SSRis). Studies comparing fluoxetine against placebo has shown fluoxetine to be superior in reducing skin-picking. The opioid antagonist naltrexone has proven to reduce the urge to pick, particularly in patients who experience pleasure from the behavior. Glutamatergic agents and lamotrigine have also shown efficacy.

Question 6

long acting antipsychotic

Answer 6

Haloperidol decanoate , fluphenazine decanoate (intramuscularly every 2-4 W)